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Table 2 Main words and sentences per word class – Classes 1 to 4

From: Public engagement in health technology assessment in Brazil: the case of the Trastuzumab public consultation

CLASS 1 (34.32%) - Aspects related to the disease (clinical study evidence)

CLASS 2 (33.58%) Aspects related to incorporating the drug

CLASS 3 (14.76%) – Aspects related to treatment (MEDICATION)

CLASS 4: 94 TS (17.34%) – Right and access to the drug

Cat. 4 – individual cont. (χ2 128.39)

Cat. 2 – Pharmaceutical Ind. (χ2 132.26) and Cat. 3 Health Prof. (χ2 3.7)

Cat. 3 – Health Prof. (χ2 48.35) and Cat. 1- Patient Rep./adv (χ2 14.55)

Cat. 4 – individual cont. (χ2 32.95)

Main Words

χ2

Illustrative Excerpt

Main Words

χ2

Illustrative Excerpt

Main Words

χ2

Illustrative Excerpt

Main Words

χ2

Illustrative Excerpt

Breast Cancer

272.95

“however more than 60 of these women will die from recurrence of the disease in other organs. Three types of systemic adjuvant postoperative therapy have proved to be effective at significantly lowering the chance of breast cancer recurring after curative surgery”

Herceptin

52.29

“position of the Oncoguia institute regarding the CONITEC document that addresses the approval of Trastuzumab for early-stage breast cancer. Herceptin Trastuzumab is indicated for the treatment of patients with early-stage her2-positive breast cancer either before surgery as neoadjuvant treatment or after surgery as adjuvant treatment”

Disease-Free Survival

157.72

“and subsequently as an isolated drug or concomitantly to hormone therapy until completing a total of one year of treatment. The change in the text is justified by the fact that, based on studies published to date, Trastuzumab concomitantly to chemotherapy exhibits better results than when the drug is administered only after chemotherapy”

National Health System

383.38

“additionally, according to the studies mentioned, it is recommended that Trastuzumab be administered for a period of one year and as such, Femama believes that national health system patients should receive the complete treatment in the same manner as patients with health insurance plans”

Disease

178.77

Patient

51.29

Overall Survival

126.16

Incorporation

259.1

Death

124.75

Clinical

38.95

Change

113.71

Health Insurance

124.91

Malignant

112.44

CONITEC

36.83

Arm

113.71

Indisputable

118.33

Organ

107.75

Recommendation

35.12

Docetaxel

95.21

Coverage Type

112.24

Significantly

103.74

Data

34.72

Paclitaxel

89.09

Complete

106.6

Metastasis

102.21

Indicated

30.51

Text

76.92

Benefit

88.47

Occurrence

102.21

Roche

28.43

Justify

76.92

Medication

87.11

Rationale

101.41

Consider

27.58

Isolated

63.66

Brazil

84.63

Molecular

101.41

Safety

26.35

No

61

Need

73.02

Recurrence

93.82

Cross

26.35

Chemotherapy

60.41

Duty

53.99

Risk

90.22

Her2-Positive

25.54

Difference

52.85

Femama

44.34

Development

85.07

Presentation

24.27

Demonstrate

50.37

Take

28.92

Surgery

82.03

Diagnosis

24.27

Regime

46.89

Add

28.92

Women

68.19

Adverse

24.27

Complete

46.89

Reversible

28.92

  1. Source: compiled by the authors based on data obtained in IRaMuTeQ software